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老年人接受居家长期护理服务时的体验及相关因素:一项定性研究。

Older people's experience and related factors while receiving home-based long-term care services: a qualitative study.

作者信息

Norvilaitė Arūnė, Newland Jamesetta A, Blaževičienė Aurelija

机构信息

Department of Nursing, Lithuanian University of Health Sciences, Kaunas, Lithuania.

Rory Meyers College of Nursing, New York University, New York, USA.

出版信息

BMC Nurs. 2024 Aug 21;23(1):580. doi: 10.1186/s12912-024-02234-y.

Abstract

BACKGROUND

Home-based care may cover anything from 24-hour support for people with a disability, to short-term post-discharge care, or to periodic assistance with simple tasks such as domestic aid for frail older people. The process can be complex and time-consuming and requires coordination between the individual, their family caregivers, and healthcare providers. Receiving care at home can also lead to social isolation as older people may have limited opportunities for social interaction. This study aimed to investigate older people's experience and related factors while receiving home-based long-term care services.

METHODS

A qualitative study was used. Face-to-face individual interviews were conducted with people who were receiving nursing care in their homes (N = 17) and analyzed through thematic analysis.

RESULTS

Analysis of interview data resulted in the identification of three major themes that captured participants' personal experiences regarding long-term care in the home: (1) Challenges faced by older people receiving long-term care at home; (2) The impact of home care services on people's social well-being; and (3) Older people's contradictory emotions regarding care delivery.

CONCLUSIONS

Findings of the study revealed that the most important and challenging factors in home care from the perspective of older people were social well-being, religious needs, and physical needs. They considered the nurses who provided these services as family members and the most significant helpers in their daily activities. Participants expressed a desire for more services in the future.

摘要

背景

居家护理涵盖的范围很广,从为残疾人提供24小时支持,到出院后的短期护理,或为体弱的老年人提供诸如家务协助等简单任务的定期援助。这个过程可能复杂且耗时,需要个人、其家庭护理人员和医疗服务提供者之间的协调。在家接受护理也可能导致社会隔离,因为老年人的社交互动机会可能有限。本研究旨在调查老年人在接受居家长期护理服务时的经历及相关因素。

方法

采用定性研究方法。对在家中接受护理的人员(N = 17)进行面对面的个人访谈,并通过主题分析进行分析。

结果

对访谈数据的分析确定了三个主要主题,这些主题反映了参与者在居家长期护理方面的个人经历:(1)老年人在家接受长期护理时面临的挑战;(2)居家护理服务对人们社会福祉的影响;(3)老年人对护理提供的矛盾情绪。

结论

该研究的结果表明,从老年人的角度来看,居家护理中最重要且最具挑战性的因素是社会福祉、宗教需求和身体需求。他们将提供这些服务的护士视为家庭成员以及日常活动中最重要的帮手。参与者表达了对未来更多服务的渴望。

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